Janet  A  Russell    CRNP
Contract Details
USA Health System
Facility name
Provider ID
P000001519
NPI
1295772523
Tax ID
630725648
Effective Date
9/25/2005
Last Updated
6/10/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1504 Springhill Avenue Suite 1800
Mobile, AL 36604
United States
County
Mobile
Phone
2514343475 (Phone)
Billing Details
Address
P.O. Box 40480
Mobile, AL 36604
Specialty Type
Nurse Practitioner
Map
Address